NURS 406 - PHARMACOLOGY ASSESSMENT 1& 2

NURS 406 PHARMACOLOGY ASSESSMENT 1 & 2 Assessment 1 1. The first action the nurse should take is to assess the client for injury due to medication error. 2. A nurse is reviewing the medical record of a client ...

NURS 406 PHARMACOLOGY ASSESSMENT 1 & 2 Assessment 1 1. The first action the nurse should take is to assess the client for injury due to medication error. 2. A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication? 3. A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions? 4. A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have allergy to which of the following medication classifications? 5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client asks why they must take both medications. Which of the following response should the nurse make? 6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate release exenatide. Which of the following client statements indicates an understanding of the teaching? 7. A nurse is providing teaching to a client who has a new prescription for folic acid. The client states I thought that was only given during pregnancy. Which of the following statements should the nurse make? 8. A nurse in the PACU is caring for a client who has received general anesthesia and has manifestation of malignant hyperthermia. Which of the following medications should the nurse expect to administer? 9. A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first? 10. A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which of the following solution the nurse expects to administer? 11. A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following condition should the nurse expect to administer this medication? 12. A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following finding should the nurse identify as an adverse effect of the medication? 13. A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching? 14. A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching? 15. A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indications an understanding of the teaching? 16. While assessing a client at the beginning of the shift a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error? 17. A nurse is preparing to administer a second unit of packed RBCs to a client who is experiencing hemorrhagic shock. The nurse should monitor the client for which of the following manifestation as an indication of circulatory overload? 18. A nurse is planning care for a client who has neutropenia. Which of the following medication should the nurse expect to administer? 19. A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statement indicate an understanding of the teaching? 20. A nurse is caring for a client who has varicella- zoster virus. Which of the following medications should the nurse expect to administer? 21. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. 22. A nurse is providing teaching to a client who has Parkinson's disease and has a new prescription for carbidopa/levodopa. Which of the following instructions should the nurse include in the teaching? 23. A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching? 24. A nurse is reviewing the laboratory findings for a client who is taking zidovudine to treat HIV. Which of the following findings should the nurse report to the provider? 25. A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors? 26. A nurse in an intensive care unit is caring for a client who has a sudden onset of sustained supraventricular tachycardia (SVT). Which of the following medications should the nurse plan to administer? 27. A nurse is caring for a client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy? 28. A nurse is providing teaching to a client who has a new prescription for oxybutynin. Which of the following client statements indicate an understanding of the teaching? 29. A nurse is monitoring a client who received an excessive dose of morphine. Which of the following adverse effects should the nurse identify as the priority? 30. A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the following instructions should the nurse include in the teaching? 31. A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler? 32. A nurse is reviewing laboratory results prior to administering ketorolac to a client. Which of the following findings should the nurse report to the provider prior to administration? 33. A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? 34. A nurse is assessing a client who reports taking spironolactone 50 mg PO twice daily for several months. For which of the following manifestations should the nurse withhold the prescribed dose of spironolactone and notify the provider? 35. A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize that misoprostol is contraindicated for which of the following clients? 36. A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? (Select all that apply.) 37. A nurse is providing teaching to a client who has a new prescription for Montelukast. Which of the following statements by the client indicates an understanding of the teaching? 38. A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medication should the nurse expect administer? 39. A nurse is teaching the partner of a client who has diabetes mellitus how to manager episodes of severe hypoglycemia when the clients is unresponsive, which of the following actions should the nurse instruct the partner to take first? 40. A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.) 41. A nurse is reviewing medical records for a group of clients. Which of the following findings should the nurse report to the provider? 42. A nurse is preparing to administer verapamil to a client who is 2 days post myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication? 43. A nurse is discussing adverse effects with a client who has non-Hodgkin’s lymphoma and is starting to take methotrexate. Which of the following information should the nurse provide? 44. A nurse is caring who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders. (Selected all that apply) 45. A nurse for a client who has a prescription for vancomycin 1 g Iv intermittent infusion over 30 min every 12 hr. Which of the following actions should the nurse take? 46. A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication? 47. A nurse is providing teaching to a client who has a new prescription for ciprofloxacin. Which of the following client statements indicate an understanding of the teaching? 48. A nurse is providing teaching for a client who has a new prescription for oral metronidazole. Which of the following teaching points is the priority for the nurse to include? 49. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity? 50. A nurse is caring for a client who has recurrent lower urinary tract infections (UTIs). Which of following medications should the nurse expect to administer? 51. A nurse is caring for a client who has a new prescription for alosetron. Which of the following therapeutic eects should the nurse expect the client to experience? Assessment 2 1. A nurse is teaching a client who is to start taking methyldopa for the treatment of hypertension. Witch of the client following information should the nurse include in the teaching. 2. A nurse is preparing to administer gentamicin 200 mg infusion over hr to a school-age child. Available is gentamicin 200mg in 100 mL 0.5 % sodium chloride solution. The nurse should set the IV pump to deliver how many mL per hour? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) 3. A nurse is providing teaching to the parents of a child who is starting to take liquid ferrous sulfate. Which of the following information should the nurse include in the teaching? 4. A nurse is assessing a client who has been taking hydrochlorothiazide. Which of the following client statements indicates that the medication is effective? 5. A nurse is assessing a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as the priority? 6. A nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? 7. A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching? 8. A nurse is caring for a client who has HIV and a prescription for nevirapine. The nurse should monitor the client for which of the following manifestations as an adverse reaction to nevirapine? 9. A nurse is reviewing laboratory data for a client who is taking niacin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy? 10. A nurse is preparing to administrated medication to a client who has type 1 diabetes mellitus. The clients take lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take? 11. A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching? 12. A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam? 13. A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for treatment of GRED. Which of the following statements by the client indicates an understanding of the teaching? 14. A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? 15. A nurse erroneously administered a prescribe medication IV instead of IM to a client. Which of the following actions is the nurse’s priority? 16. A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times daily. The medication administration record shows that the client received 5 mg per dose on the previous day. Which of the following manifestations is the nurse’s priority to assess? 17. A nurse is reviewing the medical record of a client who has asthma and takes albuterol. Which of the following should the nurse identify as an adverse effect of albuterol? 18. A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching? 19. A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect off this medication? 20. A nurse is assessing a group of client. Which of the following findings is the priority to report to the provider? 21. A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medication should the nurse expect the provider to prescribe? 22. A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client condition as a potential contraindication for cholinesterase inhibitor therapy? 23. A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide>The nurse should explain to the client that leuprolide treats prostate cancer by which of the following action? 24. A nurse is caring for a client who requires a transfusion of one unit of packed RBC. The nurse receives the following prescription diphenhydramine 50 mg by mouth once. One hour prior to transfusion. The nurse should identify this as which of the following types of prescription? 25. A nurse is caring for an older adult client is confirmed positive for HIV and will begin medication therapy. Which of the following instructions should the nurse give the client Select all that apply? 26. A nurse is caring for a client a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider? 27. A nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take? 28. A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching? 29. A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of the following client statements indicates an understanding of the teaching? 30. A nurse is providing teaching to a client who is starting to take aspirin. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication? 31. A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy? 32. A nurse is teaching a client who has a new prescription for isoniazid to treat tuberculosis. Which of the following information should the nurse include in the teaching? 33. A nurse is assessing a client who received ondansetron 1 hr ago.Which of the following finding should the nurse identify as a therapeutic effect of the medication? 34. A nurse is caring for a client who is having difficultly viding following surgery. The nurse notes palpable bladder distension ,Which of the following medications should the nurse anticipate administering to the client? 35. A nurse is caring for a client who has chemotherapy-induced anemia. The nurse should expect to administer which of the following medications to treat the anemia? 36. A nurse is completing an admission assessment for a client who has been taking St Johns wort. The nurse should identify that which of the following medication can interact with St John wort? 37. A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply) 38. A nurse is assessing a client who started furosemide 2 days go has a potassium level of 3.1 mEq/L. Which of the following findings should the nurse expect? 39. A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory test should the nurse monitor to detect an adverse effect of the medication? 40. A nurse is providing teaching to the client who has a duodenal ulcer a starting to take sucralfate. Which of the following instructions should the nurse include in the teaching? 41. A nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin. Which of the following instruction should the nurse include in the teaching? 42. A nurse is transcribing a telephone prescription for acetaminophen 650mg by mouth daily at bedtime. The nurse should identify that which of the following abbreviations are acceptable to use when transcribing the prescription 43. A nurse is reviewing the medical record of a client who takes lithium. Which of the following findings is the priority to report to use the provider? 44. A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for tadalafil. Which of the following client statement indicates an understanding of the teaching? 45. a nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse? 46. A nurse is assessing a client who has diabetes insipidus and is starting intranasal desmopressin. Which of the following findings should indicates to nurse that medication in effective? 47. A nurse is reviewing the medication administration record (MAR) of a client who requires fluticasone MDI one puff and albuterol MDI two puffs. Which of the following actions should the nurse plan to take? Place the following steps in the correct order. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.) 48. A nurse is providing teaching to a client who is starting to take finasteride for the treatment of male pattern baldness. Which of the following statements by the client indicates an understanding of the teaching? 49. A nurse is caring for a client who is receiving morphine. Which of the following assessment should the nurse perform first? 50. A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan. Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan? Post-Assessment Assignment 1 1- The nurse is caring for a client taking spironolactone. Identify the adverse effects of spironolactone and what findings should be reported to the provider. 2- A nurse is caring for a client who has refused his morning medications. How should the nurse respond to the client. 3- What actions should be taken by the nurse when caring for a client that has refused prescribed medications?